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Managua is the top region by polio in Nicaragua. As of 2011, polio in Managua was 238,814 that accounts for 22.67 % of Nicaragua's polio. The top 5 regions (others are Matagalpa, Jinotega, Chinandega, and Chontales) account for 56.56 % of it. Nicaragua's total polio was estimated at 1.05 million in 2011.

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